Pham Phat P, Balaji Seshadri
Oregan Health and Science University, Portland 97239, USA.
Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2005:28-33. doi: 10.1053/j.pcsu.2005.01.010.
Cardiac resynchronization therapy with biventricular pacing has become a significant management tool in adults with heart failure. In children, right rather than just left ventricular failure, is a key problem in the postoperative period. Also, congenital heart defects vary widely in their nature and prognosis. There are now preliminary reports in the literature of the use of multiple temporary pacing sites after congenital heart surgery and acute comparison of the effects of unsynchronized versus synchronized pacing in the postoperative period. These studies support the use of cardiac resynchronization pacing at least as a temporary measure in cases of acute heart failure after surgery in patients with congenital heart disease.
双心室起搏的心脏再同步治疗已成为成人心力衰竭的重要治疗手段。在儿童中，术后关键问题是右心室而非仅左心室衰竭。此外，先天性心脏病的性质和预后差异很大。目前文献中有关于先天性心脏病手术后使用多个临时起搏部位以及术后非同步起搏与同步起搏效果的急性比较的初步报告。这些研究支持在先天性心脏病患者术后急性心力衰竭病例中至少将心脏再同步起搏作为一种临时措施使用。
